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30C-056 (4) t t I { Ili Al Sh �y h nc�.l t�vs ion lea ' 9. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Building Department. Existing Proposed Required by Zoning Lot Size f�� �7/_ �r J� g2-A Frontage /l0 N/A l/�j f N/A NIA Front: DI/ Setbacks: #64- Side: ' L: /v R: 3 L:�p, R:J`' Rear: / �d Height % Open Space: Cll�7y S��Gr� Cjl�jc S� Ft (Lot area minus bldg and Paved parking) �� 70 10. Certification: I hereby certify that the information contained herei s true and accurate to the best of my knowledge. DATE: �APPLICANT'S SIGNATUR NOTE: Issuance of a permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits from the Conservation Commission, Department of Public Works and other applicable permit granting authorities. of Northampton Massachusetts ` s tll NT OF BUILDING INSPECTIONS 212 Mai Street • Municipal Building ,_.�tiOr15 orthampton, MA 01060 INSPECTOR Electric,FIB"�� Northan , � ACCESSORY STRUCTURE PERMIT APPLICATION (For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure) Permit Fee: $25.00 Check # PLEASE TYPE O'R PRINT ALL INFORMATION 1. Name of Applicant: � b h er— —79 �<� C b � '5,Q.0 r7 y � ,3 Address 3 G 1 ✓ri C-�r�"t J� Telephone: 2. Owner of Property: °`� ��� -��-y-) f Address: 1127 C)��-L' Y? � c3C �)12 tU Telephone: �7 ���- � `�+ 3. Status of Applicant: _Owner Contractor 4. Structure Location: 113 Cka en f- ,Jr!. Parcel ID: Zoning Map# Parcel# _District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Use of Property: G�6r Two Family:_ Multifamily: Commercial: 6. Description of Proposed Structure: One Story Shed under 200 sq.ft.: Freestanding Deck under 200 sq.ft., less than 30"above grade: Other(describe): 9 7. Attached Plans: Sketch Plan Site Plan Plot Plan 8. Does the site contain a brook, body of water or wetlands? NO__ DON'T KNOW YES IF YES: Has a permit been,or need to be, obtained from the Conservation Commission? Needs to be obtained Obtained , Date issued CONTINUED ON NEXT PAGE File#MP-2015-0017 � �f APPLICANT/CONTACT PERSON GREENE ROBERT A&PATTY A ADDRESS/PHONE 113 CLEMENT ST (413)584-8085 () PROPERTY LOCATION 113 CLEMENT ST MAP 30C PARCEL 056 001 ZONE SR(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid OR Pet, Building Permit Filled out Fee Paid Typeof Construction: ZPA-ERECT 8 X 8 SHED New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON 1 R TION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project: Site Plan AND/OR Special Permit with Site Plan Major Project: Site Plan AND/OR Special Permit with Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee P i Elm Street Commission Permit DPW Storm Water Management Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact the Office of Planning&Development for more information. 113 CLEMENT ST MP-2015-0017 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIs#: 5576 Map: 30C Block: - 056 ZONING PERMIT Lot: 001 ..• Permit:-- ZONING PERMITAPPLI; APPLICATION PERMIT Category: shed Permit#; Iv1P-2015-0017 PERMISSION IS HEREBY GRANTED TO: Project# JS-2015-000391 Est. Cost: Contractor: License: Expires: Fee Charged:$25.00 Homeowner as Contractor Balance Due:$.00 Owner: GREENE ROBERT A&PATTY A #of Fixtures Applicant: GREENE ROBERT A&PATTY A DigSafe# AT. 113 CLEMENT ST UseGroup ConstClass ISSUED ON: 22-Aug-2014 AMENDED ON: EXPIRES ON. TO PERFORM THE FOLLOWING WORK: ZPA-ERECT 8 X 8 SHED THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: shed REC-2015-000823 20-Aug-14 668 $25.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.